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Contact Information

KELLY M SULLIVAN, MD
888 BESTGATE ROAD
SUITE 208
ANNAPOLIS, MD21401
 Phone: 410-571-1280
 Fax: 410-571-1288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELLY M SULLIVAN · (Female)

NPI Number 1831105329
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 09/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D59894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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